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All Journal Jurnal Kreativitas PKM JKM (Jurnal Kebidanan Malahayati) TANJUNGPURA JOURNAL OF NURSING PRACTICE AND EDUCATION Indonesian Journal of Community Services Cel Jurnal Kesehatan Metro Sai Wawai Midwifery Journal
Lestari, Gangsar Indah
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Journal : JKM (Jurnal Kebidanan Malahayati)

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Effectiveness Of Tui Na Massage In Overcoming Eating Difficulties In Stunting Toddlers Aged 3-4 Years Lestari, Gangsar Indah; Ridwan, M.
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 5 (2025): Volume 11 No 5 Mei 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i6.20640

Abstract

Latar Belakang Imunisasi dasar merupakan vaksin yang diberikan kepada berusia 0-11 bulan 29 hari. Tujuan meningkatkan kekebalan secara aktif pada bayi terhadap suatu penyakit, sehingga apabila suatu saat terpapar dengan penyakit tersebut tidak akan sakit atau hanya mengalami sakit ringan. Menurut data WHO 2021, sebanyak 4,9 juta anak didunia tidak mendapatkan imunisasi lengkap. Penyebab ketidak lengkapan imunisasi yaitu pandemik covid tahun 2019, membuat cakupan imunisasi ditingkat global mengalami penurunan yaitu dari 86% menjadi 81% pada tahun 2021. Dampak dari ketidak lengkapan imunisasi yaitu resiko kesakitan, kecacatan, bahkan kematian. Penelitian ini secara umum bertujuan untuk mengetahui adanya hubungan pengetahuan ibu dengan pemberian imunisasi dasar lengkap pada bayi di Puskesmas Ganjar Agung Kota Metro.Metode Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan non-probability sampling dengan metode total sampling. Sampel dalam penelitian adalah ibu yang memiliki bayi berusia 11 bulan yang berkunjung ke Puskesmas atau Posyandu di Wilayah Kerja Puskesmas Ganjar Agung, Kota Metro pada bulan Januari sampai dengan Mei 2024 sejumlah 51 responden. Pengambilan data menggunakan kuesioner dan analisis data menggunakan uji chi square.Hasil penelitian didapatkan ibu dengan pengetahuan pada kategori cukup sebesar 78,4% dan kelengkapan imunisasi dasar pada bayi 82.4%. Hasil uji statistik p value = 0,667.Kesimpulan penelitian bahwa tidak ada hubungan yang signifikan antara pengetahuan ibu dengan kelengkapan imunisasi dasar pada bayi. Hasil penelitian diharapkan dapat menjadi pertimbangan bagi instansi kesehatan agar dapat meningkatkan promosi tentang imunisasi dasar lengkap pada bayi. Kata Kunci : Imunisasi dasar, pengetahuan ibu. ABSTRACT Background Basic immunization is a vaccine given to children aged 0-11 months 29 days. The aim is to actively increase immunity in infants against a disease, so that if one day they are exposed to the disease they will not get sick or only experience mild illness. According to WHO data in 2021, as many as 4.9 million children in the world did not receive complete immunization. The cause of incomplete immunization, namely the 2019 Covid pandemic, caused global immunization coverage to decline from 86% to 81% in 2021. The impact of incomplete immunization is the risk of illness, disability, and even death. This study generally aims to determine the relationship between maternal knowledge and the provision of complete basic immunization to infants at the Ganjar Agung Health Center, Metro City. This research method is a quantitative study with a cross-sectional approach. The sampling technique uses non-probability sampling with the total sampling method. The sample in the study were mothers who had 11-month-old babies who visited the Health Center or Posyandu in the Ganjar Agung Health Center Working Area, Metro City from January to May 2024, totaling 51 respondents. Data collection using a questionnaire and data analysis using the chi square test.The results of the study found that mothers with knowledge in the sufficient category were 78.4% and completeness of basic immunization in infants was 82.4%. The results of the statistical test p value = 0.667.The conclusion of the study is that there is no significant relationship between maternal knowledge and completeness of basic immunization in infants. The results of the study are expected to be a consideration for health agencies in order to increase promotion of complete basic immunization in infants. Keywords: Basic immunization, maternal knowledge. 
Nutritional Status And Maternal Weight Gain During Pregnancy Are Associated With Low Birth Weight Fatimah, Syahda Lailatul; Lestari, Gangsar Indah; Riyanto, Riyanto
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 9 (2025): Volume 11 Nomor 9 September 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i9.22560

Abstract

 Pendahuluan Berat bayi lahir rendah merupakan salah satu masalah kesehatan yang banyak terjadi pada bayi baru lahir dan dapat meningkatkan risiko komplikasi pada bayi baru lahir. 54% penyebab kematian bayi adalah latar belakang gizi.. Bayi dengan BBLR mempunyai peluang meninggal 10-20 kali lebih besar dari pada bayi yang lahir dengan berat lahir cukup. Dampak dari BBLR antara lain peningkatan risiko hipotermia, hipoglikemia, gangguan pernapasan, hiperbilirubinemia, dan lain-lain, serta  meningkatkan risiko gangguan perkembangan motorik dan kognitif, gangguan pertumbuhan, serta penyakit kronis. Prevelensi Kasus BBLR tahun 2021-2023 di Kota Metro terus mengalami kenaikan. Hasil penimbangan tahun 2021 terdapat 4,8% mengalami BBLR, pada  tahun 2022 terdapat 5,1% mengalami BBLR dan pada tahun 2023 terdapat 6.0% mengalami BBLR. Rendahnya status gizi ibu hamil selama kehamilan dapat mengakibatkan berbagai dampak tidak baik bagi ibu hamil dan bayinya diantaranya adalah bayi lahir dengan BBLR. Penelitian ini bertujuan untuk mengetahui hubungan status gizi dan kenaikan berat badan ibu selama hamil terhadap BBLR.Metode Penelitian ini merupakan penelitian observasional dengan desain case control dan dilaksanakan pada bulan Mei 2025 di RSUD Jenderal Ahmad Yani Kota Metro. Populasi penelitian ini adalah seluruh ibu dan bayi baru lahir di rumah sakit. Sampel penelitian ini berjumlah 80 responden terdiri atas 40 kelompok kasus (BBLR) dan 40 kelompok kontrol (Tidak BBLR). Sampel dipilih menggunakan alat ukur kuesioner untuk memperoleh data menggunakan analisis univariat dan bivariat menggunakan uji Chi Square dengan tingkat kemaknaan (��) 0,05%.Hasil penelitian dari 80 responden menunjukkan ibu dengan status gizi dalam kategori beresiko BBLR  (25,0%) dan ibu dengan status gizi dalam kategori tidak beresiko BBLR (75,0%), sedangkan ibu dengan kenaikan berat badan selama hamil dalam kategori tidak sesuai IMT (77,5%) dan kategori sesuai IMT (22,2%). Hasil uji statistik diperoleh hasil adanya hubungan antara status gizi p-value = 0,003; OR = 13,000 dan kenaikan berat badan ibu selama hamil p-value = 0,001 ; OR = 4,660 dengan berat bayi lahir rendah.Kesimpulan penelitian adanya hubungan status gizi dan kenaikan berat badan ibu selama hamil dengan kejadian BBLR. Saran Perlu edukasi untuk upaya menurunkan dan mencegah kejadian BBLR dengan melakukan pemeriksaan rutin agar dapat membantu dalam mendeteksi dini status gizi ibu hamil serta melakukan pemantauan selama kehamilan. Kata kunci : IMT, status gizi, kenakan berat badan, BBLR ABSTRACT  Introduction Low birth weight is a common health problem in newborns and can increase the risk of complications in newborns. 54% of infant deaths are caused by nutritional background. Babies with low birth weight have a 10-20 times greater chance of dying than babies born with adequate birth weight. The impacts of low birth weight include an increased risk of hypothermia, hypoglycemia, respiratory disorders, hyperbilirubinemia, and others, as well as an increased risk of impaired motor and cognitive development, growth disorders, and chronic diseases. The prevalence of low birth weight cases in Metro City from 2021-2023 continues to increase. The results of weighing in 2021 showed 4.8% experiencing low birth weight, in 2022 there were 5.1% experiencing low birth weight and in 2023 there were 6.0% experiencing low birth weight. The low nutritional status of pregnant women during pregnancy can result in various adverse effects for pregnant women and their babies, including babies born with low birth weight. This study aims to determine the relationship between nutritional status and maternal weight gain during pregnancy with low birth weight.Method This research is an observational study with a case control design and was conducted in May 2025 at General Ahmad Yani Regional General Hospital, Metro City . The population of this study was all mothers and newborns at the hospital. The sample of this study amounted to 80 respondents consisting of 40 case groups (LBW) and 40 control groups (Not LBW). The sample was selected using a questionnaire measuring tool to obtain data using univariate and bivariate analysis using the Chi Square test with a significance level (��) of 0.05%.The results of the study from 80 respondents showed that mothers with nutritional status in the category at risk of LBW (25.0%) and mothers with nutritional status in the category not at risk of LBW (75.0%), while mothers with weight gain during pregnancy in the category not according to BMI (77.5%) and the category according to BMI (22.2%). The results of the statistical test obtained the results of a relationship between nutritional status p-value = 0.003; OR = 13,000 and maternal weight gain during pregnancy p-value = 0.001; OR = 4,660 with low birth weight.The conclusion of the study is that there is a relationship between nutritional status and maternal weight gain during pregnancy with the incidence of LBW. Suggestion : Education is needed to reduce and prevent the incidence of LBW by conducting routine check-ups to help in early detection of the nutritional status of pregnant women and conducting monitoring during pregnancy. Keywords : BMI, nutritional status, weight gain, LBW
Effects Of Tui Na Massage On Stunted Toddlers Aged 3-4 Years Ayuningtyas, Nova; Lestari, Gangsar Indah; Sumiyati, Sumiyati
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 9 (2024): Volume 10 No.9 September 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i9.17493

Abstract

Background: Stunting is a form of chronic malnutrition resulting from inadequate nutrient intake over a prolonged period, often due to insufficient feeding that fails to meet nutritional requirements. The prevalence of stunting among children under the age of five in Indonesia was 36.4% in 2015. However, the 2023 health profile research in Lampung Province reported a prevalence of 4.0%, and in the working area of the Purwosari Health Center, the incidence of stunting was 5.7%. A preliminary survey conducted by researchers found 14 stunted toddlers in the Purwosari Health Center working area.Aim: This study aimed to investigate the effect of Tui Na Massage on stunted toddlers aged 3-4 years in Purwosari North Metro Health Center's working area.Methods: This study utilized quantitative research with a quasi-experimental method and a one-group pretest-posttest design approach. The target population was 14 stunted toddlers aged 3-4 years within the Purwosari Health Center's working area in Metro City. The sample also included 14 respondents, with the sampling technique using total sampling. Data collection methods comprised questionnaires, scales, and stature meters. Data analysis involved univariate analysis using mean values and bivariate analysis using paired sample t-tests.Results: The research involved 14 participants who were measured before and after the Tui Na massage. Before the massage, the average body weight was 12.99 kg, and the average height was 88.07 cm. After the massage, the average body weight increased to 13.36 kg, and the average height increased to 89.07 cm. The average increase in body weight was 0.37 kg (370 grams), and height was 1.00 cm. The paired samples test yielded a p-value of 0.000 (p<0.05), indicating a statistically significant difference.Conclusion: Tui Na massage has an effect on increasing body weight and height in toddlers aged 3-4 years in Purwosari Health Center's Working Area.Recommendation: Suggestions for healthcare workers include providing Tui Na Massage as an alternative therapy to support the growth of stunted toddlers and to prevent stunting in children.Keywords : Toddlers, Stunting, Tui Na Massage
Effectiveness Of Stagen Use On Uterine Involution In Postpartum Women Lestari, Gangsar Indah; Aprilia, Rizka
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 6 (2024): Volume 10,No.6 Juni 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i6.15540

Abstract

Latar Belakang: Masa nifas merupakan masa krusial bagi petugas kesehatan untuk memantau kondisi ibu. Pada masa ini, organ reproduksi mengalami involusi dan kembali ke kondisi sebelum hamil. Namun jika proses involusi uterus gagal maka dapat terjadi subinvolusi uterus. Kegagalan ini dapat disebabkan oleh tertahannya fragmen plasenta, infeksi, atau pendarahan yang terus menerus. Beberapa faktor seperti usia, paritas, senam nifas, inisiasi menyusui dini (IMD), mobilisasi dini, nutrisi, dan penggunaan stagen dapat mempengaruhi dan mempercepat proses involusi. Stagen mengacu pada cara tradisional yang digunakan masyarakat Jawa untuk merawat penampilan fisik wanita pasca melahirkan. Penggunaan stagen selama 40 hari diyakini efektif mengencangkan perut dan membantu involusi rahim.Tujuan: Penelitian ini dilakukan untuk menilai efektivitas penggunaan stagen terhadap involusi uterus pada ibu nifas di TPMB Ponirah Kota Metro Lampung Tahun 2023.Metode: Penelitian dilakukan dengan menggunakan desain penelitian quasi eksperimen dengan pendekatan dua kelompok dan jumlah responden sebanyak 30 orang, yang terbagi menjadi 15 kelompok kontrol dan 15 kelompok intervensi. Analisis data meliputi analisis univariat, bivariat, dan multivariat.Hasil: Hasil penelitian menunjukkan efektivitas penggunaan stagen terhadap involusi uterus pada ibu nifas di TPMB Ponirah Kota Metro tahun 2023 dengan nilai P value sebesar 0,014.Kesimpulan: Terdapat pengaruh penggunaan stagen terhadap tinggi fundus uteri ibu nifasSaran : Wanita pasca melahirkan disarankan menggunakan stagen untuk mempercepat proses pemulihan di masa nifas. Kata Kunci: Stagen, Involusi Uterus, Masa Nifas, Wanita Nifas ABSTRACT Background: The postpartum period is a crucial time for health workers to monitor the mother's condition. During this time, the reproductive organs go through involution, returning to their pre-pregnancy state. However, if the uterine involution process fails, it can lead to uterine subinvolution. This failure can be caused by retained placental fragments, infection, or continued bleeding. Several factors, such as age, parity, postpartum exercises, early breastfeeding initiation (IMD), early mobilization, nutrition, and the use of stagen can influence and accelerate the process of involution. Stagen refers to traditional methods used by the Javanese community to care for postpartum women' physical appearance. The use of stagen for 40 days is believed to be effective in firming the abdomen and aiding in uterine involution.Aim: This study was conducted to assess the effectiveness of stagen use on uterine involution in postpartum women at TPMB Ponirah Metro City, Lampung in 2023.Methods:  The research was conducted using a quasi-experimental research design with a two-group approach and a total of 30 respondents, split into 15 control group and 15 intervention group. Data analysis involved univariate, bivariate, and multivariate analysis.Results: The results showed the effectiveness of using stagen for uterine involution in postpartum women at TPMB Ponirah Metro City in 2023, with a P value of 0.014.Conclusion: There is an effect of stagen use on the uterine fundal height of postpartum womenSuggestion: Postpartum women are advised to use stagen to accelerate the recovery process during the postpartum period. Keywords: Stagen, Uterine involution, Postpartum period, Postpartum women  
Co-Authors Ayuningtyas, Nova Dayani, Tiara Rica Elisa Murti Puspitaningrum Fatimah, Syahda Lailatul Firda Fibrila Herbawani, Chahya Kharin Herlina Herlina M. Ridwan M. Ridwan Priyono, Djoko Riyanto Riyanto Rizka Aprilia, Rizka SUMIYATI SUMIYATI Triyana Harlia Putri Widiyanti, Septi Wulandari, Apri Lesi